scholarly journals Current Status of Robot-Assisted Laparoscopic Surgery in Pediatric Urology

2014 ◽  
Vol 55 (8) ◽  
pp. 499 ◽  
Author(s):  
Sang Hoon Song ◽  
Kun Suk Kim
Keyword(s):  
Laparoscopic Surgery ◽  
Pediatric Urology ◽  
Current Status ◽  
Robot Assisted

The early results of Robotic surgeryin treating pancreatic and hepatobiliarydiseases at Binh Dan Hospital

2018 ◽  
Vol 8 (3) ◽  
Author(s):  
Văn Hùng Võ ◽  
Keyword(s):  
Laparoscopic Surgery ◽  
Da Vinci ◽  
Robotic System ◽  
Current Status ◽  
Robot Assisted ◽  
Intraoperative Complication ◽  
Case Series Study ◽  
Da Vinci Robotic System ◽  
Hepatobiliary Diseases ◽  
Robot Assisted Surgery

Tóm tắt Đặt vấn đề: Phẫu thuật nội soi đã được áp dụng phổ biến trong bệnh lý gan mật tụy. Gần đây, phẫu thuật nội soi robot hỗ trợ là một tiến bộ mới của phẫu thuật ống mật chủ, túi ít xâm lấn, cải thiện những bất lợi của phẫu thuật nội soi thông thường. Mục tiêu của chúng tôi là chia sẻ những kinh nghiệm sớm trong việc sử dụng Robot trong phẫu thuật gan mật tụy cũng như cập nhật vấn đề thời sự này. Phương pháp nghiên cứu: Nghiên cứu mô tả hàng loạt ca: 18 trường hợp (TH) bệnh lý gan mật tụy được phẫu thuật tại Bệnh viện Bình Dân từ tháng 01/2017 đến 09/2018 sử dụng hệ thống Robot da Vinci. Kết quả: Trong 18 TH bệnh lý gan mật tụy: 6 TH ung thư gan, 2 TH u thân đuôi tụy, 5 TH cắt tá tụy, 1 TH túi mật, và 4 TH nang ống mật chủ. Phẫu thuật thành công 17 TH, có 1 TH nang ống mật chủ chuyển mổ mở. Không có biến chứng trong phẫu thuật liên quan đến Robot. Không có biến chứng nặng. Không có tử vong. Kết luận: Sử dụng phẫu thuật nội soi có robot hỗ trợ trong bệnh lý gan mật tụy an toàn và khả thi Abstract Introduction: Laparoscopic surgery has been widely used in treating the pancreatic and hepatobiliary diseases. Recently, robot - assisted surgery was introduced as a new advance of minimally invasive surgery, could improve the disadvantages of conventional laparoscopic surgery. Aim of this study is to share early experiences in using robots in pancreatic and hepatobiliary surgery, as well as to update on the current status of robot - assisted surgery. Material and Methods: A descriptive case series study: (18) eighteen cases of pancreatic and hepatobiliary diseases were performed at Binh Dan hospital from 01/2017 to 09/2018 using the da Vinci robotic system. Results: In 18 patients: 6 hepatectomies, 2 spleen-preserving distal pancreatectomies, 5 pancreatoduodenectomies, 1 cholecystectomy, and 4 choledochal cystic resections. 17 were performed successful by robot - assisted surgery, 1 case of choledochal cystic resection converted to open surgery. There was no intraoperative complication related to the use of the da Vinci robotic system. No serious complications. No death was in this series. Conclusion: Using of robot - assisted surgery in pancreatic and hepatobiliary diseases is safe and feasible. Keyword: Robot – assisted surgery, da Vinci Surgical System, hepatectomy, distal pancreatectomy, pancreatoduodenectomy, cholecystectomy, choledochal cystic resection.

scholarly journals Robot-assisted laparoscopic surgery after placing a self-expanding metallic stent for malignant rectal obstruction: a case report

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Hiroshi Takeyama ◽  
Katsuki Danno ◽  
Takahiko Nishigaki ◽  
Masafumi Yamashita ◽  
Masami Yamazaki ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Lower Abdominal Pain ◽  
Lower Limbs ◽  
Metallic Stent ◽  
Sems Placement ◽  
Robot Assisted ◽  
Colorectal Obstruction ◽  
First Report ◽  
Distended Bowel ◽  
Rectal Obstruction

Abstract Background Approximately 20% of colorectal cancer patients show complete or incomplete bowel obstruction as an early symptom. Preoperative nonsurgical decompression such as placing a self-expanding metallic stent for malignant colorectal obstruction has been shown to be effective for reducing perioperative morbidity and mortality. However, there is a lack of published studies reporting robot-assisted laparoscopic surgery (RALS) after self-expanding metallic stent (SEMS) placement for malignant rectal obstruction (MRO). To our knowledge, this is the first report to do so. Case presentation An 80-year-old man with incomplete paralysis of the lower limbs as well as bladder–rectal disorder due to a spine fracture sustained in a fall accident 26 years ago presented with lower abdominal pain and vomiting. Abdominal multi-detector computed tomography revealed an obstructive rectal tumor with distended bowel on the oral side. Emergency colonoscopy was performed, and an SEMS placed. The patency of SEMS and decompression of the distended bowel was confirmed, and elective RALS was performed 29 days after SEMS placement. To our knowledge, this is the first report of RALS after decompression with SEMS placement for MRO. Conclusions RALS after SEMS placement is a safe and feasible therapeutic strategy for MRO.

scholarly journals Current status of residency training in laparoscopic surgery in Brazil: a critical review

2015 ◽  
Vol 28 (1) ◽  
pp. 81-85 ◽  
Author(s):  
Miguel Prestes NÁCUL ◽  
Leandro Totti CAVAZZOLA ◽  
Marco Cezário de MELO
Keyword(s):  
Laparoscopic Surgery ◽  
Endoscopic Surgery ◽  
Surgical Simulation ◽  
Internship And Residency ◽  
Current Status ◽  
Professional Activity ◽  
Medical Residency ◽  
Psychomotor Skills ◽  
Residency Programs ◽  
Education Medical

INTRODUCTION: The surgeon's formation process has changed in recent decades. The increase in medical schools, new specialties and modern technologies induce an overhaul of medical education. Medical residency in surgery has established itself as a key step in the formation of the surgeon, and represents the ideal and natural way for teaching laparoscopy. However, the introduction of laparoscopic surgery in the medical residency programs in surgical specialties is insufficient, creating the need for additional training after its termination. OBJECTIVE: To review the surgical teaching ways used in services that published their results. METHODS: Survey of relevant publications in books, internet and databases in PubMed, Lilacs and Scielo through july 2014 using the headings: laparoscopy; simulation; education, medical; learning; internship and residency. RESULTS: The training method for medical residency in surgery focused on surgical procedures in patients under supervision, has proven successful in the era of open surgery. However, conceptually turns as a process of experimentation in humans. Psychomotor learning must not be developed directly to the patient. Training in laparoscopic surgery requires the acquisition of psychomotor skills through training conducted initially with surgical simulation. Platforms based teaching problem solving as the Fundamentals of Laparoscopic Surgery, developed by the American Society of Gastrointestinal Endoscopic Surgery and the Laparoscopic Surgical Skills proposed by the European Society of Endoscopic Surgery has been widely used both for education and for the accreditation of surgeons worldwide. CONCLUSION: The establishment of a more appropriate pedagogical process for teaching laparoscopic surgery in the medical residency programs is mandatory in order to give a solid surgical education and to determine a structured and safe professional activity.

scholarly journals Robot-assisted surgery in children: current status

2008 ◽  
Vol 1 (4) ◽  
pp. 243-246 ◽  
Author(s):  
C. K. Sinha ◽  
M. Haddad
Keyword(s):  
Current Status ◽  
Robot Assisted ◽  
Robot Assisted Surgery

scholarly journals Comparison of Short-Term Outcomes Between Robotic-Assisted and Laparoscopic Surgery in Colorectal Cancer

2018 ◽  
Vol 26 (1) ◽  
pp. 57-65 ◽  
Author(s):  
Xiao-Long Zhu ◽  
Pei-Jing Yan ◽  
Liang Yao ◽  
Rong Liu ◽  
De-Wang Wu ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Laparoscopic Surgery ◽  
Colorectal Surgery ◽  
Hospital Stay ◽  
Bowel Function ◽  
Postoperative Recovery ◽  
Postoperative Hospital Stay ◽  
Robot Assisted ◽  
Short Term ◽  
Robotic Colorectal Surgery

Aim. The robotic technique has been established as an alternative approach to laparoscopy in colorectal surgery. The aim of this study was to compare short-term outcomes of robot-assisted and laparoscopic surgery in colorectal cancer. Methods. The cases of robot-assisted or laparoscopic colorectal resection were collected retrospectively between July 2015 and October 2017. We evaluated patient demographics, perioperative characteristics, and pathologic examination. A multivariable linear regression model was used to assess short-term outcomes between robot-assisted and laparoscopic surgery. Short-term outcomes included time to passage of flatus and postoperative hospital stay. Results. A total of 284 patients were included in the study. There were 104 patients in the robotic colorectal surgery (RCS) group and 180 in the laparoscopic colorectal surgery (LCS) group. The mean age was 60.5 ± 10.8 years, and 62.0% of the patients were male. We controlled for confounding factors, and then the multiple linear model regression indicated that the time to passage of flatus in the RCS group was 3.45 days shorter than the LCS group (coefficient = −3.45, 95% confidence interval [CI] = −5.19 to −1.71; P < .001). Additionally, the drainage of tube duration (coefficient = 0.59, 95% CI = 0.3 to 0.87; P < .001) and transfers to the intensive care unit (coefficient = 7.34, 95% CI = 3.17 to 11.5; P = .001) influenced the postoperative hospital stay. The total costs increased by 15501.48 CNY in the RCS group compared with the LCS group ( P = .008). Conclusions. The present study suggests that colorectal cancer robotic surgery was more beneficial to patients because of shorter postoperative recovery time of bowel function and shorter hospital stays.

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